Correlation between total leukocyte count, neutrop hil count, and ap p endix diameter on ultrasound of acute ap p endicitis Patients

Sadia Safi; Irum Jehan; Anwer Zeb Alam; Ashraf Ullah; Shah Faisal Jamal; Rizwan Ullah; Waqas Ahmad; Aqal Zaman

doi:10.31580/pjmls.v6i3.2855

Sadia Safi Department of Radiology, Taj College of Nursing and Allied Health Sciences,Bannu,Pakistan

Irum Jehan Department of Radiology, The Professional Institute of Health Sciences,Mardan,Pakistan

Anwer Zeb Alam Department of Radiology, Pakistan Institute of Medical and Management Sciences,Peshawar,Pakistan

Ashraf Ullah Department of Radiology, Tehsil Head Quarter Hospital,Mir Ali, North Waziristan,Pakistan

Shah Faisal Jamal Khyber Medical University, Peshawar, Pakistan

Rizwan Ullah Department of Radiology, Institute of Paramedical Sciences, Khyb er Medical University,Peshawar,Pakistan;Department of Radiology, Tehsil Head Quarter Hospital, Mir Ali, North Waziristan, Pakistan

Waqas Ahmad Department of Radiology, Institute of Health Sciences S wab i,,Pakistan

Aqal Zaman Department of Microbiology and Molecular Genetics, Bahudin Zakarya University,Multan,Pakistan

The study a imed to co rrelate to tal leukocyte co unt, neutro phil co unt, a nd appendix dia meter measured on ultraso und of acute appendicitis pa tients, to find o ut whether it will help in the accura te and precise diagno sis of acute a ppendicitis and will decrease the rate of negative appendecto my . This study was a prospective analytical study. Patients who ca me to the Radiology depa rtment with suspected appendicitis and had physical examina tio n and co mplete blood count do ne were incl uded in the study and their repo rts were used for analysis after pro per info rmed co nsent f ro m the pa tients. Post-o perative resul ts were taken f ro m surg eons. A to tal of 111 patients who were cl inically diagnosed with a cute appendicitis (AA) were analyzed. The study consisted of 68 male and 43 female patients. Acute a ppendicitis was found mo re at the age of 21 years. The dia meter of the appendix was mentioned in the repo rts of 46, Total leukocyte count (TLC) a nd Neutro phil count (NC) were mostly high in those patients whose appendix dia meter was mentioned o n the Ultrasound repo rts. A signif ica nt co rrelation was present between TLC, NC, and appendix dia meter. There was also a statistically significance co rrelation (p<0.001) between to tal leukocyte count, neutroph il count, appendix dia meter, and post-operative results. It was concluded f ro m the study tha t mentioning dia meter on ul trasound w ill help the surg eon for better decisio ns about surgery. It was observed that if the dia meter of the a ppendix was increa sed a nd o r seconda ry signs were seen on ultrasound there are mo re possibil ities of increased TLC and NC of patients having suspected appendicitis.